Anita Scott

• Managed patient intake forms, verifying insurance and demographic information for accuracy, ensuring compliance with agency standards.
• Knowledgeable of medical terminology, CPT and ICD9/10 coding. Attention to detail and accuracy.
• Strong communication skills both verbal and written with ability to interact professionally with patients, staff and healthcare professionals in a fast-paced environment while maintaining a positive, professional and friendly demeanor.
• Verification of all insurance coverage, eligibility and authorization requests. Obtained authorizations when required. Ran Part D test claims for payments. Investigated unpaid claims for corrections and appeals.
• Strong data entry skills, Microsoft Office, spreadsheets, proficient using medical records systems. Strong analytical skills. Effectively evaluate, troubleshoot and resolve issues.
• Communicated effectively with healthcare providers, nurse liaisons and social workers regarding patient needs and concerns via ECIN (Careport/Allscripts), EPIC, HALO and Teams.
• Organized and maintained detailed patient records in accordance with HIPAA guidelines, safeguarding patient privacy and confidentiality.
• Assisted patients in understanding home infusion procedures and requirements. Collected copays and past due balances. Excellent rapport with patients and caregivers.
• Trained new and existing intake staff on office protocols and systems for improved efficiency.
• Logged incoming inquiries and prescriptions via phone, fax, and email, scanning documentation to patients' EMR for timely responses and record accuracy.
• Updated patient information changes in computer systems to maintain billing accuracy.
• Welcome new procedures and feedback on ability to perform job more proficiently.

Insurance followedReviewed medical records to ensure accuracy of billing information and patient data.

• Verified insurance coverage and identified third-party payers for billing purposes.
• Calculated billing charges, prepared and submitted claims to insurance companies.
• Monitored accounts receivable activity, ensuring timely payment of invoices to maintain cash flow.
• Developed financial reports detailing accounts receivable aging status.
• Tracked legislative changes impacting billing procedures to ensure compliance and accuracy.
• Assisted in developing strategies for improving collections processes.
• Managed all payments processing, invoicing and collections tasks.
• Monitored past due accounts and pursued collections on outstanding invoices.
• Collected, posted and managed patient account payments.
• Executed account updates and noted account information in company data systems.
• Assessed billing statements for correct diagnostic codes and identified problems with coding.
• Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
• Submitted claims to insurance companies.
• Expedited payments by verifying accuracy and currency of vendor information.
• Developed strong professional rapport with vendors and clients.
• Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
• Created receiving reports and updated vendor balance sheets to record accounts payable.
• Gathered information to produce accounts payable reports for review.
• Generated and distributed month-end statements for customers and resolved related concerns.
• Reconciled codes against services rendered.
• Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
• Reviewed engine assigned codes and modifiers to update and verify accuracy.
• Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.
• Processed customer billing inquiries and resolved discrepancies efficiently.
• Generated monthly invoices using accounting software for timely distribution.
• Collaborated with cross-functional teams to streamline billing procedures.
• Maintained accurate records of financial transactions and client accounts.
• Reviewed billing data for accuracy before finalizing invoices and statements.
• Monitored payment collections and followed up on outstanding accounts.
• Answered customer inquiries regarding billings, payments, account status.
• Worked with team members to identify and develop process improvements.
• Investigated incorrect billings and processed refunds as necessary.
• Worked closely with patients to discuss payment arrangements when needed.
• Resolved discrepancies between customers' remittances and invoices received.
• Provided support to other departments within the organization as needed.
• Maintained accurate records of collections, adjustments and denials in the system.
• Educated patients on billing statements and payment options, enhancing understanding and satisfaction.
• Utilized billing software to maintain patient records and transaction histories.
• Collaborated with healthcare providers to resolve billing inquiries and issues.
• Managed insurance claims submissions and followed up on denials or discrepancies.
• Processed and reviewed patient billing statements for accuracy and compliance.
• Implemented new policies related to billing processes when required.
• Reconciled daily cash receipts with total deposits on bank statement.
• Performed accurate and fully compliant monthly closing processes, accruals and journal entries Proficiency using EMR system. Strong communication skills both verbal and written with ability to interact professionally with patients, caregivers and staff.
• Answered multi line phone system, responded to inquiries and if needed directed calls to appropriate staff member.
• Became highly knowledgeable of enteral tube and oral feeding patients. Contacted over 200 patients a month to verify needs to be delivered. Followed insurance guidelines for refills and deliveries. Set up deliveries either by warehouse driver or Vendor (McKesson).
• Ordered enteral supplies from vendors when stock was low.